Brief Answer:
Possible side effect of medication.

Detailed Answer:
Good evening. My name is Dr. Saghafi and I will answer what I can based upon this extremely limited information. I hope it has value to you.

You state that your hands are tingling after "stimulate use." You also state that you tried taking Ambien as a way of countering "effects."

I must ask for clarification here since I do not know whether you are telling me that you just ingested some type of stimulant and simply wrote that incorrectly in your sentence OR are you saying that you have tingling in the hands after STIMULATING them with some type of use?

In either case, I guess I understand how you might say that the drug Ambien was used to counter its effects although I would also ask what your rationale was for doing that? Were you thinking that perhaps sleeping would make the symptoms subside? Or did you think that the drug itself through its chemical properties might somehow lessen the chemical intensity or effects of the stimulant use (if it was a stimulant)?

Also, are we talking about a prescription medication (if in fact this medication you took was a stimulant) or are we talking about something which is considered illicit or street drug? And a very important question is what dose did you ingest and for what purpose?

Were you ingesting the medication for prescription purposes, recreational purposes, or attempting to do harm to yourself?"

I'm sorry for so many questions but I hope you can appreciate the fact that the lack of information makes it difficult to know the best answer to give you. Perhaps, after you clarify these questions we can narrow things down and I can focus the topic and what the plan should be if you are continuing to have problems.

Just as it stands I would say the following:

Assuming you took a medication for either prescription or recreational uses then, the tingling in the hands is likely a side effect of the medication. Depending upon the dose you took and when you took it either the effects will wear off so long as you don't take any more or you will notice some type of progression to tingling symptoms somewhere else such as the arms, the face, or the feet and legs. If that were to start to happen then, I might suggest a trip to the ER as quickly as possible since they will probably want to determine what you took to see if there is either a quick way to reverse those effects or whether or not you would benefit from a gastric lavage, etc.

If this information has been helpful to your statement more than question would you please do me the favor of replying with a little written feedback and a STAR RATING of the response I gave. That will help me know how well I provided you with useful data.

Also, if you have no further questions on this thread or have resolved your symptoms (hopefully) I'd also appreciate your CLOSING THE QUERY on your end so that the network can process, archive, and credit this case for future reference.

This query required 60 minutes of physician specific time in order to review, research, and compile final draft for envoy.

---

Brief Answer:
No pharmacological activity against cocaine

Detailed Answer:
Thank you for the additional information. I understand the situation a bit better now. The effects of the cocaine causing the tingling and anxiousness are expected from the drug and depending upon their severity could represent some of the first signs of toxicity. Are these the first times you are using the drug? Have you not had these symptoms before? Your best advice on treating these effects is to first off, not take further doses of the drug. 2nd is you should go to an ER and report the overdose and its effects because if you go into convulsions at home or elsewhere you may not be found in time and could have serious complications including death.

Your 2nd day of usage with the 1g is very close to the published limit of 1.2g which we refer to as the LD50 of this drug. In other words the LETHAL DOSE at which 50% of users will die is 1.2g taken as an oral dose in human beings.

To say it another way, using 1g you were at 83% the way to a dose of cocaine which has a 50% chance of causing death in its users.

I recommend you search out a reputable treatment program. I understand your desire to want to keep things confidential and so to that end, such programs do maintain (and are required by law) confidentiality of its clients. I wish you the best and hope you find a clear path to being able to give up this dangerous drug. I'm afraid your escalation from 0.5g to 1.0g is rather alarming so take care.

Once again, would you please do me the favor of replying with a note of written feedback and a STAR RATING of the responses I've given? Also, if you have no further questions on this thread I'd also appreciate your CLOSING THE QUERY on your end so that the network can process, archive, and credit the case for future reference.

If you would like to specifically address questions to me in the future you can look me up on this channel for searching for my name, XXXXXXX SAGHAFI, MD.

http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474

In addition, I also give live internet webcam consultations during which time we can converse through live webcam technology if you have one attached to your computer vs. chat or simply by audio connection depending upon your situation. You can look me up on that network at the following:

www.healthtap.com/drsaghafi

You will find me on Sundays 11p-3a (New York City Time Zone in the US) as well as Wed.-Sat's 3a-6a.

This query required 54 minutes of physician specific time in order to review, research, and compile final draft for envoy.

---